Evidence map›Paper›PMID 17975669›Full record

ArticleThe Journal of clinical investigation2007

Psychological stress downregulates epidermal antimicrobial peptide expression and increases severity of cutaneous infections in mice.

Karin M Aberg, Katherine A Radek, Eung-Ho Choi, Dong-Kun Kim, Marianne Demerjian, Melanie Hupe, Joseph Kerbleski, Richard L Gallo, Tomas Ganz, Theodora Mauro and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed
16.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 237 citations in OpenAlex.

  1. Trial
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  4. Unravelling the Microbiome's Role in Healing Diabetic Wounds.Current pharmaceutical biotechnology · 2025
    Review
  5. Review
  6. Review of sensory systems deployed by epidermal keratinocytes.Frontiers in cell and developmental biology · 2025
    Review
  7. Facing stress and inflammation: From the cell to the planet.World journal of experimental medicine · 2024
    Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Correlation of non-invasive psycho-physiological and skin-physiological measures.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  14. Article
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Karin M AbergDermatology and Medical (Metabolism) Services, Veterans Affairs Medical Center, and Department of Dermatology, UCSF, San Francisco, California 94121, USA.
Katherine A Radek
Eung-Ho Choi
Dong-Kun Kim
Marianne Demerjian
Melanie Hupe
Joseph Kerbleski
Richard L Gallo
Tomas Ganz
Theodora Mauro
Kenneth R Feingold
Peter M Elias
University of California, San Francisco · USUniversity of California, San Diego · USUniversity of California, Los Angeles · USYonsei University · KR

Funding

RELATIONSHIP OF PERMEABILITY BARRIER FUNCTION AND EPIDERMAL CYTOKINE PRODUCTIONP01AR039448 · NIAMS · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI ELIAS, PETER M · 1988 to 2007
$11.8M
UCSF Dermatology Training GrantT32AR007175 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Wilson Liao, Michael David Rosenblum · 1986 to 2026
$6.1M
NATURE OF THE MAMMALIAN CUTANEOUS PERMEABILITY BARRIERR01AR019098 · NIAMS · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI ELIAS, PETER M · 1986 to 2012
$4.2M
Risk Factors for Eczema Vaccinatum in Atopic DermatitisR01AI059311 · NIAID · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI HOLLERAN, WALTER M · 2005 to 2009
$1.9M
NIAID NIH HHS AI059311NIAID NIH HHS R01 AI059311NIAMS NIH HHS AR07175-28NIAMS NIH HHS AR19098NIAMS NIH HHS AR39448NIAMS NIH HHS P01 AR039448NIAMS NIH HHS R01 AR019098NIAMS NIH HHS T32 AR007175
6 · The paper itself

Abstract

The skin is the first line of defense against microbial infection, and psychological stress (PS) has been shown to have adverse effects on cutaneous barrier function. Here we show that PS increased the severity of group A Streptococcus pyogenes (GAS) cutaneous skin infection in mice; this was accompanied by increased production of endogenous glucocorticoids (GCs), which inhibited epidermal lipid synthesis and decreased lamellar body (LB) secretion. LBs encapsulate antimicrobial peptides (AMPs), and PS or systemic or topical GC administration downregulated epidermal expression of murine AMPs cathelin-related AMP and beta-defensin 3. Pharmacological blockade of the stress hormone corticotrophin-releasing factor or of peripheral GC action, as well as topical administration of physiologic lipids, normalized epidermal AMP levels and delivery to LBs and decreased the severity of GAS infection during PS. Our results show that PS decreases the levels of 2 key AMPs in the epidermis and their delivery into LBs and that this is attributable to increased endogenous GC production. These data suggest that GC blockade and/or topical lipid administration could normalize cutaneous antimicrobial defense during PS or GC increase. We believe this to be the first mechanistic link between PS and increased susceptibility to infection by microbial pathogens.

Indexed as

Streptococcus pyogenesStress, PsychologicalAnimalsAnti-Bacterial AgentsAntimicrobial Cationic PeptidesClobetasolDisease SusceptibilityDown-RegulationEpidermisFemaleGlucocorticoidsHumansLipid MetabolismMiceMice, NudeSkin Diseases, InfectiousAnti-Bacterial AgentsAntimicrobial Cationic PeptidesClobetasolGlucocorticoids

Identifiers

PMID17975669
PMCPMC2045593
OpenAlexW2082747116

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.